I represent a 501(c)(3), tax exempt, nonprofit organization or educational institution.
Yes No
Yes
No
The 501(c)(3) organization or educational institution is located in NC.
The computers for which I am applying will not be sent outside of North Carolina.
The computer(s) I am applying for will be used for one of the following:
A home computer for a low-income K-12 student. The computer will support the applying agency's efforts to mentor, tutor, or otherwise provide direct support or educational services to the receiving youth A home computer for a low-income individual with a disability. The computer will support the applying agency's efforts to provide the best possible social service support for their clients A home computer for a low-income family or senior citizen. The computer will support the applying agency's digital literacy education programs. A nonprofit computer lab that serves one of the following purposes: (1) mentoring, tutoring or other direct educational support for low-income K-12 youth, (2) basic computer skills training to low-income adults Preschool, K-12, or alternative school seeking to increase computer access for the students. Health and human service nonprofit(s) which support ending homelessness Operational support for the United Way of the Greater Triangle Partner Agency or NC United Way which is applying for the computer(s) None of the above
A home computer for a low-income K-12 student. The computer will support the applying agency's efforts to mentor, tutor, or otherwise provide direct support or educational services to the receiving youth
A home computer for a low-income individual with a disability. The computer will support the applying agency's efforts to provide the best possible social service support for their clients
A home computer for a low-income family or senior citizen. The computer will support the applying agency's digital literacy education programs.
A nonprofit computer lab that serves one of the following purposes: (1) mentoring, tutoring or other direct educational support for low-income K-12 youth, (2) basic computer skills training to low-income adults
Health and human service nonprofit(s) which support ending homelessness
Operational support for the United Way of the Greater Triangle Partner Agency or NC United Way which is applying for the computer(s)
None of the above
The organization I represent is primarily a health and/or human services nonprofit and the organization's primary purpose is NOT the promotion and advancement of a religion, political party, or a commercial for-profit entity.
I have authority from the president or executive director of the organization I represent to apply for computers on behalf of the organization.
